Comparison of Prevalence of Focal Neurologic Sign, Level of Consciousness and Seizure in Acute Subdural Hemorrhage; Report of 400 Cases

Abstract

Background: The most important complication of head trauma is acute subdural hemorrhage (ASDH). This is emergency of neurology that diagnosis and treatment in the earlier stage is effective in improve the prognosis. Aim of this study is evaluate the frequency of neurologic signs level of consciousness and seizure in ASDH.

Materials and Methods: In a retrospective study and cross sectional samples of 400 patients with ASDH in the Kashani and Al-Zahra hospitals in Isfahan, Iran for four years we evaluate the frequency of neurologic sign, level of consciousness and seizure.

Results: The male female ratio was  4.8/1, the most rate of age was 61-70 year , trauma was most  common etiology of ASDH (98.5%), the frequency of neurologic signs were: Facial paralysis (4.5%) motor sign (15%), urinary incontinence (6%) change in level of consciousness (49.75%) the frequency of seizure was 9%.

Conclusion: Since the most presentation of A.SHD is decrease level of consciousness determine the level of consciousness intermittently in patients with ASDH is very important.